| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $858.52 | $858.52 | $8,500.00 | |
Medica
| Facility | $858.52 | $1,053.18 | $2,575.56 |
Revision (including removal) of prosthetic vaginal graft, laparoscopic approach
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $858.52 | $858.52 | $8,500.00 | |
Medica
| Facility | $858.52 | $1,053.18 | $2,575.56 |